Organization
PROSPECT HEALTH ACCESS NETWORK, INC.
Active
Organization
PROSPECT HEALTH ACCESS NETWORK, INC.
Active
Other names
Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
1553 CHESTER PIKE STE 101, CRUM LYNNE, PA 19022-1022
(610) 447-2000
Mailing address
1553 CHESTER PIKE STE 101, CRUM LYNNE, PA 19022-1022
(610) 447-2000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
10/11/2023
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